Rock House Kids
Contribution Form

Rock House Kids is fully funded by contributions from Churches and individuals who see the need to minister to Rockford's inner city youth and sacrificially give to meet those needs. Rock House Kids is a 501(c)3 non-profit organization. All contributions are tax deductible.


Yes, I would like to make a donation
to Rock House Kids!

$50.00 $75.00 $100.00 Other Amount $__________


So that we can send you a tax deductible reciept, please fill out the information below:

Name: _____________________________________________


City, State, Zip Code: __________________________________

Phone: _____________________________________________


Comments: ____________________________________________





Please mail all contributions with this form to:

Rock House Kids
1325 7th Street
Rockford, IL 61104